Vaginal or Vulvar Injury

Vulvar (external genitalia) injuries can occur from a fall onto a sharp object, direct blunt force, or a penetrating injury. Because of the close relationship between the vulva and the vagina, rectum, and urethra, care must be taken to rule out injuries to these other important structures. Evaluation will include examination for lacerations. Bone x-rays of the pelvis will help in excluding any associated fracture. Urinalysis can detect the presence of microscopic blood, which indicates injuries to the bladder, urethra, or ureters. A retrograde cystourethrogram will show the location of urethra, or bladder injuries. Treatment goals are intended to restore normal anatomy and function. Large vaginal lacerations require sutural repair (sutures), often under local anesthesia. Minor vulvar and vaginal lacerations can be treated with soapy tub soaks several times a day, allowing them to "heal on their own." Preventative antibiotics may be indicated in some cases. Follow-up with a Gynecologist will
be necessary in all cases. Special considerations in young children may warrant examination under general anesthesia.

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